Shalbhadra Bafna, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301035967 Issued in MI

Practice address

27423 Van Dyke Ave
Warren, MI 48093-2867

Phone

(347) 207-6757

NPI assigned

May 7, 2008

Last updated

Jun 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Home Visiting Group,Inc

  • Health Maintenance Organization
  • Oak Park, MI
  • NPI 1629217351
  NPD (past)
• House Calls Physicians PLLC

  • Home Health Agency
  • Allen Park, MI
  • NPI 1033273008
  NPD (past)
• Medical Services of Detroit PC

  dba greenfield medical

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1821177163
  NPD (past)
• Medical Services of Detroit PC

  dba Greenfield Medical Urgent Care

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1821296815

  Internal Medicine

  NPD (past)
• Positive Home Doctors, PC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1568477255
  NPD (past)
• Trinity Visiting Physicians PC

  • Internal Medicine Physician
  • Sterling Heights, MI
  • NPI 1063656577
  NPD (past)
• US Healthcare Mi, PC

  • General Practice Physician
  • Pontiac, MI
  • NPI 1861765695
  NPD (past)
• Westbrooke Medical Center

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1942440615
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1497921621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27423 VANDYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934455",
            "telephone_number": "347-207-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27423 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932867",
            "telephone_number": "347-207-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAFNA",
        "first_name": "SHALBHADRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301035967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497921621",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Paul Azzo
• Alena Bacalia
• Backos Physical Medicine and Rehabilitation Clinice PLC
• Eric Nicholas Backos, M.D.
• William Thomas Bacus
• Kaylynn Diane Bailer
• Alisa Bailey, OTRL
• Latifah Bailey
• Bailey's Home Care Staffing Agency, LLC
• Baileys Home for the Aged, LLC

• Internal Medicine Physician in Warren, MI
• Providers in Warren, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.